Illinois 104th General Assembly Status: To Executive 1 D cosponsors

HB5390      — PATIENT BILL & OUTSOURCED CARE

Last action — Public Act . . . . . . . . . 104-0521

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been sent to the executive. Introduced February 06, 2026. It awaits signature.

Next likely step: the executive signs it into law or issues a veto.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 74% · moderate confidence

  • To Executive

    Current position in the legislative process.

  • 6 sponsors

    1 primary, 5 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 D).

  • Cleared a recorded vote

    Passed 5 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill amends patient assistance regulations for hospitals, enhancing access regardless of citizenship or income status.

This bill updates the Fair Patient Billing Act to ensure hospitals cannot deny financial assistance based on citizenship, immigration status, or income. It requires better communication of available assistance and allows patients to appeal denials of financial aid.

What this means for you
  • Families: Families will have improved access to hospital financial assistance, regardless of their immigration status.
  • Consumers: Consumers can appeal denials for financial assistance and are assured discounted services based on income levels.
  • Healthcare: Hospitals will need to adopt uniform forms and notify patients about financial aid options in their preferred language.

Summary

Amends the Fair Patient Billing Act. Makes changes to findings and defined terms provisions. Provides that a hospital shall not deny any protection or benefit of the Act on the basis of a patient's citizenship or immigration status or assets or prospective assets. Provides that a patient who inquires about a denial of financial assistance in whole or in part must be permitted to appeal the decision within at least 90 days. Requires a hospital to use only a uniform financial assistance form developed and provided by the Attorney General no later than December 31, 2026. Provides that every hospital bill and every collection notice must notify the patient, in the patient's preferred language, of the availability of hospital financial assistance and charity care. Establishes further provisions concerning hospitals pursuing collection actions; outsourced health care services; patient responsibilities; and applicability of the Act. Amends the Hospital Uninsured Patient Discount Act. Sets forth provisions concerning uninsured patient discounts for specified income levels. Prohibits hospitals from making the availability of a discount under the Act contingent upon the uninsured patient first applying for coverage under public health insurance programs. Provides that patients may not be denied a discount under the Act on the basis of citizenship or immigration status or assets or prospective assets. Makes other changes concerning uninsured patient discounts, outsourcing health care services, and patient responsibilities. Effective immediately.

Bill Text

We don't have the full text on file for this bill yet.

Read HB5390 on the official Illinois source →

Action History

  1. Public Act . . . . . . . . . 104-0521

  2. Effective Date June 26, 2026

  3. Governor Approved

  4. Sent to the Governor

  5. Added as Alternate Co-Sponsor Sen. Karina Villa

  6. Passed Both Houses

  7. Third Reading - Passed; 039-019-000

  8. Added as Alternate Co-Sponsor Sen. Napoleon Harris III

  9. Placed on Calendar Order of 3rd Reading May 18, 2026

  10. Second Reading

  11. Placed on Calendar Order of 2nd Reading May 7, 2026

  12. Do Pass Executive; 009-004-000

  13. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

  14. Assigned to Executive

  15. Added as Alternate Co-Sponsor Sen. Mike Simmons

  16. Referred to Assignments

  17. First Reading

  18. Chief Senate Sponsor Sen. Omar Aquino

  19. Placed on Calendar Order of First Reading

  20. Arrive in Senate

  21. Third Reading - Short Debate - Passed 073-034-000

  22. Placed on Calendar Order of 3rd Reading - Short Debate

  23. House Floor Amendment No. 1 Adopted

  24. House Floor Amendment No. 1 Recommends Be Adopted Health Care Availability & Accessibility Committee; 014-000-000

  25. House Floor Amendment No. 1 Rules Refers to Health Care Availability & Accessibility Committee

  26. House Floor Amendment No. 1 Referred to Rules Committee

  27. House Floor Amendment No. 1 Filed with Clerk by Rep. Dagmara Avelar

  28. Held on Calendar Order of Second Reading - Short Debate

  29. Second Reading - Short Debate

  30. Placed on Calendar 2nd Reading - Short Debate

  31. Do Pass / Short Debate Health Care Availability & Accessibility Committee; 008-004-000

  32. Assigned to Health Care Availability & Accessibility Committee

  33. Referred to Rules Committee

  34. First Reading

  35. Filed with the Clerk by Rep. Dagmara Avelar

Sponsors

  • Omar Aquino · Cosponsor
  • Mary Edly-Allen · Cosponsor
  • Napoleon Harris III · Cosponsor
  • Karina Villa · Cosponsor
  • Dagmara Avelar · Primary
  • Mike Simmons · Cosponsor

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 5 co-sponsors · 177 not signed on · 53 voted No

Sponsors (1)

Co-sponsors (5)

  • Omar Aquino
  • Mary Edly-Allen
  • Napoleon Harris III
  • Karina Villa
  • Simmons, Mike

Not signed on (177)

177 members have not signed on to this bill.

Show all 177 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Third Reading

Passed 39 Yea · 19 Nay
Party YeaNayPresentNot Voting
Republican 01900
Democrat 37001
Unaffiliated 1000
Total 381901
% of votes cast 66%33%0%2%
How each member voted (58)
Member Party Vote
Johnson — Yea
Bill Cunningham Democrat Yea
Celina Villanueva Democrat Yea
Christopher Belt Democrat Yea
Cristina Castro Democrat Yea
David Koehler Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Graciela Guzmán Democrat Yea
Javier L. Cervantes Democrat Yea
Julie A. Morrison Democrat Yea
Karina Villa Democrat Yea
Kimberly A. Lightford Democrat Yea
Lakesia Collins Democrat Yea
Laura Ellman Democrat Yea
Laura Fine Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Mark L. Walker Democrat Yea
Mary Edly-Allen Democrat Yea
Mattie Hunter Democrat Yea
Meg Loughran Cappel Democrat Yea
Michael E. Hastings Democrat Yea
Michael W. Halpin Democrat Yea
Mike Porfirio Democrat Yea
Mike Simmons Democrat Yea
Napoleon Harris III Democrat Not Voting
Omar Aquino Democrat Yea
Patrick J. Joyce Democrat Yea
Paul Faraci Democrat Yea
Rachel Ventura Democrat Yea
Ram Villivalam Democrat Yea
Robert F. Martwick Democrat Yea
Robert Peters Democrat Yea
Sara Feigenholtz Democrat Yea
Steve Stadelman Democrat Yea
Suzy Glowiak Hilton Democrat Yea
Thaddeus Jones Democrat Yea
Willie Preston Democrat Yea
Andrew S. Chesney Republican Nay
Chapin Rose Republican Nay
Chris Balkema Republican Nay
Craig Wilcox Republican Nay
Dale Fowler Republican Nay
Darby A. Hills Republican Nay
Dave Syverson Republican Nay
Donald P. DeWitte Republican Nay
Erica Harriss Republican Nay
Jason Plummer Republican Nay
Jil Tracy Republican Nay
John F. Curran Republican Nay
Li Arellano, Jr. Republican Nay
Neil Anderson Republican Nay
Sally J. Turner Republican Nay
Seth Lewis Republican Nay
Steve McClure Republican Nay
Sue Rezin Republican Nay
Terri Bryant Republican Nay

Official roll call →

Executive

Passed 9 Yea · 4 Nay
Party YeaNayPresentNot Voting
Republican 0400
Democrat 9000
Total 9400
% of votes cast 69%31%0%0%
How each member voted (13)
Member Party Vote
Bill Cunningham Democrat Yea
Cristina Castro Democrat Yea
Don Harmon Democrat Yea
Kimberly A. Lightford Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Mattie Hunter Democrat Yea
Napoleon Harris III Democrat Yea
Omar Aquino Democrat Yea
Jil Tracy Republican Nay
John F. Curran Republican Nay
Neil Anderson Republican Nay
Sue Rezin Republican Nay

Official roll call →

Third Reading

Passed 73 Yea · 34 Nay
Party YeaNayPresentNot Voting
Democrat 70005
Republican 03306
Unaffiliated 2100
Total 7234011
% of votes cast 62%29%0%9%
How each member voted (117)
Member Party Vote
Jacobs — Nay
Johnson — Yea
Hernandez, Lisa — Yea
Aarón M. Ortíz Democrat Yea
Abdelnasser Rashid Democrat Yea
Amy Briel Democrat Yea
Angelica Guerrero-Cuellar Democrat Yea
Ann M. Williams Democrat Yea
Anna Moeller Democrat Yea
Anne Stava Democrat Yea
Anthony DeLuca Democrat Yea
Barbara Hernandez Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Yea
Carol Ammons Democrat Yea
Curtis J. Tarver, II Democrat Yea
Dagmara Avelar Democrat Yea
Daniel Didech Democrat Yea
Dave Vella Democrat Yea
Debbie Meyers-Martin Democrat Yea
Diane Blair-Sherlock Democrat Yea
Edgar González, Jr. Democrat Yea
Eva-Dina Delgado Democrat Yea
Fred Crespo Democrat Yea
Harry Benton Democrat Yea
Hoan Huynh Democrat Not Voting
Jaime M. Andrade, Jr. Democrat Yea
Janet Yang Rohr Democrat Yea
Jawaharial Williams Democrat Yea
Jay Hoffman Democrat Yea
Jehan Gordon-Booth Democrat Yea
Jennifer Gong-Gershowitz Democrat Yea
Joyce Mason Democrat Yea
Justin Cochran Democrat Yea
Justin Slaughter Democrat Yea
Kam Buckner Democrat Yea
Katie Stuart Democrat Yea
Kelly M. Cassidy Democrat Yea
Kevin John Olickal Democrat Yea
Kimberly Du Buclet Democrat Yea
La Shawn K. Ford Democrat Not Voting
Laura Faver Dias Democrat Yea
Lawrence "Larry" Walsh, Jr. Democrat Yea
Lilian Jiménez Democrat Yea
Lindsey LaPointe Democrat Yea
Lisa Davis Democrat Yea
Marcus C. Evans, Jr. Democrat Yea
Margaret A. DeLaRosa Democrat Yea
Margaret Croke Democrat Yea
Martha Deuter Democrat Yea
Mary Beth Canty Democrat Yea
Mary Gill Democrat Not Voting
Matt Hanson Democrat Yea
Maura Hirschauer Democrat Yea
Maurice A. West, II Democrat Yea
Michael Crawford Democrat Yea
Michael J. Kelly Democrat Not Voting
Michelle Mussman Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Nicholas K. Smith Democrat Yea
Nicolle Grasse Democrat Yea
Norma Hernandez Democrat Yea
Rick Ryan Democrat Not Voting
Rita Mayfield Democrat Yea
Robert "Bob" Rita Democrat Yea
Robyn Gabel Democrat Yea
Sharon Chung Democrat Yea
Sonya M. Harper Democrat Yea
Stephanie A. Kifowit Democrat Yea
Sue Scherer Democrat Yea
Suzanne M. Ness Democrat Yea
Thaddeus Jones Democrat Yea
Theresa Mah Democrat Yea
Tracy Katz Muhl Democrat Yea
Will Guzzardi Democrat Yea
William "Will" Davis Democrat Yea
Yolonda Morris Democrat Yea
Adam M. Niemerg Republican Nay
Amy Elik Republican Nay
Amy L. Grant Republican Not Voting
Blaine Wilhour Republican Nay
Brad Halbrook Republican Nay
Brad Stephens Republican Not Voting
Bradley Fritts Republican Nay
Brandun Schweizer Republican Nay
Charles Meier Republican Nay
Chris Miller Republican Nay
Christopher "C.D." Davidsmeyer Republican Nay
Dan Swanson Republican Nay
Daniel J. Ugaste Republican Nay
Dave Severin Republican Nay
David Friess Republican Nay
Dennis Tipsword Republican Not Voting
Jackie Haas Republican Not Voting
Jason R. Bunting Republican Nay
Jed Davis Republican Nay
Jeff Keicher Republican Nay
Jennifer Sanalitro Republican Nay
Joe C. Sosnowski Republican Nay
John M. Cabello Republican Nay
Kevin Schmidt Republican Nay
Kyle Moore Republican Nay
Martin McLaughlin Republican Nay
Michael J. Coffey, Jr. Republican Nay
Nicole La Ha Republican Nay
Norine K. Hammond Republican Nay
Patrick Sheehan Republican Nay
Patrick Windhorst Republican Nay
Regan Deering Republican Nay
Ryan Spain Republican Not Voting
Steven Reick Republican Nay
Tom Weber Republican Nay
Tony M. McCombie Republican Nay
Travis Weaver Republican Nay
Wayne A. Rosenthal Republican Not Voting
William E Hauter Republican Nay

Official roll call →

Health Care Availability & Access

Passed 14 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 9000
Republican 5000
Total 14000
% of votes cast 100%0%0%0%
How each member voted (14)
Member Party Vote
Dagmara Avelar Democrat Yea
Justin Cochran Democrat Yea
Kelly M. Cassidy Democrat Yea
Michael Crawford Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Nicolle Grasse Democrat Yea
Theresa Mah Democrat Yea
Yolonda Morris Democrat Yea
Bradley Fritts Republican Yea
Jackie Haas Republican Yea
Jennifer Sanalitro Republican Yea
Nicole La Ha Republican Yea
William E Hauter Republican Yea

Official roll call →

Health Care Availability & Access

Passed 8 Yea · 4 Nay · 2 Other
Party YeaNayPresentNot Voting
Democrat 8001
Republican 0401
Total 8402
% of votes cast 57%29%0%14%
How each member voted (14)
Member Party Vote
Camille Y. Lilly Democrat Yea
Dagmara Avelar Democrat Yea
Justin Cochran Democrat Not Voting
Michael Crawford Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Sue Scherer Democrat Yea
Theresa Mah Democrat Yea
Yolonda Morris Democrat Yea
Jackie Haas Republican Nay
Jennifer Sanalitro Republican Nay
Kevin Schmidt Republican Nay
Nicole La Ha Republican Nay
William E Hauter Republican Not Voting

Official roll call →

Subjects

immigration civil-rights healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB5390      do?
Amends the Fair Patient Billing Act. Makes changes to findings and defined terms provisions. Provides that a hospital shall not deny any protection or benefit of the Act on the basis of a patient's citizenship or immigration status or assets or prospective assets. Provides that a patient who inquires about a denial of financial assistance in whole or in part must be permitted to appeal the decision within at least 90 days. Requires a hospital to use only a uniform financial assistance form developed and provided by the Attorney General no later than December 31, 2026. Provides that every hospital bill and every collection notice must notify the patient, in the patient's preferred language, of the availability of hospital financial assistance and charity care. Establishes further provisions concerning hospitals pursuing collection actions; outsourced health care services; patient responsibilities; and applicability of the Act. Amends the Hospital Uninsured Patient Discount Act. Sets forth provisions concerning uninsured patient discounts for specified income levels. Prohibits hospitals from making the availability of a discount under the Act contingent upon the uninsured patient first applying for coverage under public health insurance programs. Provides that patients may not be denied a discount under the Act on the basis of citizenship or immigration status or assets or prospective assets. Makes other changes concerning uninsured patient discounts, outsourcing health care services, and patient responsibilities. Effective immediately.
Who sponsors HB5390     ?
HB5390      is sponsored by Omar Aquino, Mary Edly-Allen, Napoleon Harris III, Karina Villa, Dagmara Avelar (Democrat), and Simmons, Mike.
What is the current status of HB5390     ?
This bill has been sent to the executive. Introduced February 06, 2026. It awaits signature.
Where can I track HB5390     ?
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Last checked for changes 3 months ago · updated continuously

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